Active NPI
Luis Ricardo De Leon, PHARM D.
- Pharmacist
- Houston, TX
National Provider Identifier
1629259007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47108
- Practice address
- 2121 Hepburn St
Unit 502
Houston, TX 77054-3242 - Phone
- (832) 262-9397
- NPI assigned
- Nov 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | TX | ||
| Pharmacist | 183500000X | 47108 | TX | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 47108 | TX |
Addresses
Primary practice location
2121 Hepburn St
Unit 502
Houston, TX 77054-3242
Mailing address
2121 Hepburn St Apt 502
Houston, TX 77054-3218
Phone (832) 262-9397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47108 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1629259007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 HEPBURN ST APT 502",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770543218",
"telephone_number": "832-262-9397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 HEPBURN ST",
"address_2": "UNIT 502",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770543242",
"telephone_number": "832-262-9397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEON",
"first_name": "LUIS",
"middle_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-14",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "47108",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "47108",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.